MRI lower back without contrast at Mid Coast Hospital. CPT 72148.
What Mid Coast Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,293cash price (self-pay)
$1,293list price
$67.03–$1,221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $130 |
| Anthem | Medicare Advantage | $155 |
| United Healthcare | Medicare Advantage | $155 |
| Aetna | Medicare Advantage | $159 |
| Humana | Medicare Advantage | $179 |
| Wellcare | Medicare Advantage | $179 |
| Aetna | HMO/PPO | $260 |
| Aetna | MHACO Commercial | $269 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $278 |
| Multiplan | Commercial | $309 |
| Community Health Options | Commercial | $324 |
| United Healthcare | Commercial | $325 |
| Harvard Pilgrim Healthcare | Commercial | $379 |
| Harvard Pilgrim Healthcare | Maines Choice | $379 |
| Cigna | PPO | $943 |
| Cigna | OAP | $981 |
Inpatient
$1,293cash price (self-pay)
$1,293list price
$913–$1,221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | OAP | $913 |
| Harvard Pilgrim Healthcare | Maines Choice | $972 |
| Harvard Pilgrim Healthcare | Commercial | $1,042 |
| Cigna | PPO | $1,045 |
| Aetna | HMO/PPO | $1,093 |
| Multiplan | Commercial | $1,216 |
| Community Health Options | Commercial | $1,217 |
| United Healthcare | Commercial | $1,221 |
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